The Relationship between Phased Implementation of Diagnosis Related Groups and the Financial Performance of Physicians: The Case of Taiwan
| Autor: | Huang,Yen-Chung, 黃彥中 |
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| Rok vydání: | 2015 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 103 To establish a reasonable disease classification system, the National Health Insurance Administration has utilized diagnosis related groups (DRGs), a prospective payment system, since January 2010. The DRG payment system is expected to achieve the objectives of saving medical resources and enhancing the cost control management of physicians. This study collects data from a medical center in central Taiwan and uses the DRG monthly case reports from five divisions, namely, orthopedics, cardiology, cardiovascular surgery, gynecology and pediatrics, to examine the relationship between the phased implementation of DRGs and the financial performance of physicians. The empirical results indicates that: (1) the financial performances of physicians during the second phase of the DRG implementation were lower than they were during the first phase; (2) there was a significant and positive association between examine fees earned by physicians and that his/her financial performance; and (3)the relationship between examine fees earned by physicians and his/her financial performance was stronger during the second phase of implementation that it was during the first phrase. Finally, considering the idiosyncratic characteristics between divisions, this study reexamines the analyses mentioned above by divisions. The results indicate that there is cross-subsidization across divisions. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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